www.cgh.com.sg Annual Report 2017 Department of Otorhinolaryngology – Head & Neck Surgery CONTENTS 01 Leadership Message 03 Our Doctors 05 History, Milestones and Achievements 11 CGH Otorhinolaryngology – Head & Neck Surgery At A Glance 15 Our Services 25 Gold Standard of Care Copyright 2017 by Changi General Hospital 29 Patient Satisfaction Survey 5 Tampines Central 1 31 Awards and Recognition Tampines Plaza #08-01/05 Singapore 529541 36 A Centre for Learning and Collaboration www.cgh.com.sg All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic , mechanical, photocopying, recording or otherwise, without the prior written permission of the copyright 45 Integrating Clinical Practice with Research and Innovation owner. While all care has been taken by the publisher to ensure accurate representation of all existing events and services at the time of 47 Coming Together publication, they are not a representation of what may be available currently or in the future. The publisher, authors and contributors assume no responsibility for errors or omissions. 50 Media Engagement All material and information are provided as is and to be used at user’s risk entirely. LEADERSHIP MESSAGE It gives me great pleasure to present the Rhinology Service was introduced in 2013, Department of Otorhinolaryngology – Head & Neck providing a comprehensive and patient-centric Surgery’s Annual Report 2017. As we prepare to service for patients with complex sinus-nasal meet the challenges that accompany an ageing conditions. In the same year, the Integrated population amid a changing healthcare landscape, Airway Service was introduced to facilitate multi- we see many opportunities to deliver high-value and disciplinary management of nose, nasal sinuses cost effective care to our community. and pulmonary care by both ENT Surgeons and Respiratory Physician. This report showcases our ongoing efforts to develop both our software – maximising each team At the same time, the Head & Neck Surgery member’s potential, aligning with the medical Service was formalised and consolidated profession’s and institutional public service’s ethos, through close collaboration with general while pursuing world-class excellence in medical surgeons, endocrinologists, pathologists, care, and hardware – harnessing the latest radiologists, as well as radiation and medical technology in healthcare processes while evaluating oncologists. This multi-disciplinary approach and continuously improving patient care and clinical provides head and neck cancer patients with the outcomes. highest standard of care. Managed by strong leadership and supported by a dedicated team of doctors, nurses, allied health professionals and administrators, the department continues to Key Highlights Prof Hsu Pon Poh invest in sustainable services to establish a Chief & Senior Consultant, Otorhinolaryngology– Head & Neck Surgery The past few years have been exciting and world-renowned reputation in providing safe and Assistant Chairman (Service Development), Medical Board productive for us. Notable achievements include: efficient patient-centred care. Keeping patients at the centre of all that we do and placing their • The inauguration of the Integrated Sleep Service interest above all else, we apply a systematic Sincerely, in 2009. The multi-specialty service supported by approach to improve our performance and Beyond our core clinician roles, many of our team clinical outcomes, while simultaneously striving members have stepped up to various leadership various clinical departments and allied health roles in clinical care, research, education and professionals offers, comprehensive and to pursue our goals in providing the right care, at collaboration appointments, both locally and integrated care to patients with sleep disorders. the right time in the most efficient and It was followed by the expansion of the Sleep cost-effective manner. regionally. Laboratory in 2012 and its accreditation by the Australasian Sleep Association in 2016. Anchored in the ethos and spirit of the department – Prof Hsu Pon Poh Focus on Education Wisdom, Integrity, Compassion and Teamwork – we Chief & Senior Consultant, are committed to continuing the pursuit of Otorhinolaryngology– Head & Neck Surgery • The commencement of Otology service in 2010, Assistant Chair (Service Development), offering a one-stop inter-professional service for We invested heavily in the expansion of our knowledge and surgical excellence to improve Medical Board ear, hearing and balance conditions. The service undergraduate and post-graduate programmes in patient care and clinical outcomes, investing in Changi General Hospital successfully offered the first adult aural recent years. We were honoured with multiple translational research and innovation, as well as rehabilitation programme for adult cochlear educator awards for three consecutive years from nurturing future generations of doctors. implant recipients in Singapore in 2012. In 2016, 2014 through to 2016, as well as the NUS Clinical the Cochlear Implant Support Group was Training Merit Award 2016 for our unwavering We will also continue to build on our strong links launched. In the same year, the early cochlear dedication to nurturing and training future with prominent institutions of higher learning, implant switch-on was also introduced. generations of professionals and practitioners within medical practitioners and centres of medical the department. Given the immense development of excellence in the region. Supported by a network of • The Level of Medical Competency (LMC) for The our research capabilities as a result of translational strong partnerships, we will soldier on in our journey Facial Plastic and Reconstructive Surgery and clinical research, we remained at the forefront to be on the cutting edge of healthcare, today and Service was granted by the Ministry of Health in of patient care and scientific discoveries. beyond. 2011, allowing functional and aesthetic plastic surgery services in the head and neck in CGH. Leadership Message 2 OUR DOCTORS Integrated Sleep Service Facial Plastic & Reconstructive Surgery Service Prof Hsu Pon Poh Asst Prof Alvin Tan Kah Asst Prof Loh Chi Yuan Ian Dr Lee Tee Sin Leong MBBS, MD, FRCS (Edin), FRCS MBBS, MRCS (Edin), MMed (ORL), MBBS, MRCS (Edin), MMed (ORL), (Glasg), FAMS (ORL), G. Dip (Health MB ChB, MRCS (Edin), MMed FAMS (ORL) FAMS (ORL) Mgmt) (Surgery), DOHNS, GDOM, MMED (Sleep Medicine) Senior Consultant Consultant Chief & Senior Consultant Principal Staff Registrar Adj. Asst. Prof., NUS Yong Loo Clinical Senior Lecturer, NUS Asst. Chairman, Medical Board, Lin School of Medicine Yong Loo Lin School of Service Development Adj. Asst. Prof., NUS Yong Loo Medicine Lin School of Medicine Adj. Assoc. Prof., NUS Yong Loo Lin School of Medicine Adj. Prof., Singapore University of Technology and Design Rhinology Service Visiting Prof., Chang Gung Memorial Hospital Dr Leslie Timothy Koh MBBS, MRCS (Edin), MMed (ORL), FAMS (ORL) Head & Neck Surgery Service Associate Consultant Clinical Lecturer, NUS Yong Loo Lin School of Medicine Assoc Prof Lu Kuo Sun Peter Dr Huang Xinyong MBBS, FRCS (Edin), FAMS, ECFMG MBBS, MRCS (Edin), M Med (ORL), FAMS (ORL) Senior Consultant Dr Gan Eng Cern Consultant Dr David Chin Chao Wu Deputy Chairman, Medical MBBS, MRCS (Edin), MRCS (Ire), MBBS, MRCS (Edin), MMed (ORL), Board, Surgical Clinical Senior Lecturer, NUS Mmed (ORL), FAMS (ORL) FAMS (ORL) Yong Loo Lin School of Visiting Consultant Clinical Assoc. Prof., NUS Yong Medicine Visiting Consultant Loo Lin School of Medicine Otology Service General ENT Service Assoc Prof Yuen Heng Wai Dr David Low Yong Ming Dr Shahrul Izham Ibrahim Dr Hu Huixin MBBS, MRCSEd, MMed (ORL), DOHNS MBBS, MRCS (Edin), MMed (ORL), (England), Dip (Family Med), FAMS FAMS (ORL) LRCPI, LRCSI, MB, BCh, BAO, MRCS MBBS, MRCS (Edin), MMed (ORL) (Ed) Senior Consultant Associate Consultant Staff Registrar Senior Staff Registrar Adj. Assoc. Prof., Singapore Clinical Lecturer, NUS Yong Clinical Lecturer, NUS Yong Clinical Lecturer, NUS Yong University of Technology and Loo Lin School of Medicine Loo Lin School of Medicine Design (SUTD) Loo Lin School of Medicine Our Doctors 4 HISTORY, MILESTONES AND ACHIEVEMENTS Our History 1994 The Department started its humble beginnings by providing General Ear, Nose and Throat (ENT), and Audiology Services with one consultant, Dr Amar Kaur, and a registrar, Dr Aw Chong Yin, in Toa Payoh Hospital. Dr Kaur was subsequently joined by Dr Ronald Brett and A/Prof Peter Lu in Toa Payoh Hospital. 1996 The Service was granted official Divisional status under the Department of General Surgery. 1997 Dr Ronald Brett succeeded Dr Amar Kaur as Division Head. (Clockwise from top) Aligned with the restructuring plan, the Division of ENT and Dr Amar Kaur (right), Divisional Head and other clinical departments were relocated from Toa Payoh Pioneer of General ENT and Audiology Hospital to its current location in Changi General Hospital. Services in Tao Payoh Hospital in 1994. Prof Hsu Pon Poh joined the growing Division in 1999. Dr Ronald Brett, appointed as the ENT Division Head in 1997. 2000 The ENT Care Team, 1999. Headship of the Division was passed on to A/Prof Peter Lu, a distinguished leader who continually promotes a culture of clinical excellence, continuing medical education and translational research. History, Milestones and Achievements 6 2002 The Division was officially recognised